Fluticasone for seasonal allergic rhinitis (SAR)

299 patients, aged 12 years and older, were included in a 2-week double-blind, parallel-group randomized study during the fall. Fluticasone nasal spray, 110 μg qd, was effective and well tolerated for treatment of fall-season allergic rhinitis (SAR). It also helped the eye symptoms of SAR.

Fluticasone was fast acting, with an 8-hour onset of action, and long-acting, with a 24-hour symptom control. Again, the duration of the study was only 2 weeks, so no major adverse effects were observed.

Mnemonic for symptoms of SAR: CS DIES

CongestionSmell impairment

Discharge - watery nasal dischargeItchingEye symptomsSneeze

Mnemonic for stepwise approach to treatment of allergic rhinitis: OASIS

Patients should be instructed to angle the steroid spray towards the ear to direct it where the inflamed nasal mucosa is. Pumping it straight up will direct the medication to the nasal cartilage, leading to local side effects.

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